NPI | 1457701443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001641) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001411) |
101YP2500X Counselor, Professional (Licence: CO LPC.0015434) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2024-07-25 |